RRT-TMC Practice Exam Latest

RRT-TMC Practice Exam Latest Update RRT TMC Actual Exam Questions and Correct Answers Rated A+

A 16-year-old patient involved in a motorcycle accident has been admitted to the emergency department. The paramedic indicates that the patient was not wearing a helmet. To assess the patient's neurologic status the respiratory therapist would assess the patient's

• vital capacity.
• pupillary response.
• herring bruer reflex .
• moro reflexes. -ANSWER-B. pupillary response.

The peak inspiratory pressure on a pressure-cycled ventilator is 30 cm H2O. The respiratory therapist decreases the inspiratory flow. This change would affect the

• rate.

B. PEEP.

• expiratory time.
• I:E ratio. -ANSWER-D. I:E ratio.

A patient recently underwent a coronary artery bypass and is now receiving Incentive Spirometry QID. The patient's inspiratory capacity has diminished over the past several days and the patient is becoming increasingly short of breath. Chest radiograph shows left lower lobe consolidation with air bronchograms. The respiratory therapist would conclude that the patient has developed

• pleural effusion.
• atelectasis.
• pneumothorax.
• pneumonia. -ANSWER-D. pneumonia.

A patient has a tracheostomy tube in place. The measured cuff pressure is 24 mm Hg. Which of the following statements is true of this situation?

• The pressure is appropriate for minimal tracheal occlusion.
• This pressure will most likely cause arterial occlusion.
• At this pressure, there is a significant risk of VAP.
• The pressure will cause tracheal necrosis if maintained. -ANSWER-
• The pressure is appropriate for minimal tracheal occlusion.

The respiratory therapist receives an order for postural drainage and vibration. With the bed flat, the therapist places the patient in a prone position with pillows under his hips. Which lung segments are being treated with this position?

• Anterior segments of the upper lobes
• Superior segments of the upper lobes
• Posterior basal segments of the lower lobes
• Superior segments of the lower lobes -ANSWER-D. Superior

segments of the lower lobes

A patient has been admitted to the emergency department via ambulance. The cardiac monitor indicates sinus tachycardia. The patient is orally intubated with a size 7.5 mm ID endotracheal tube and is being manually ventilated. What other point of care monitoring should the respiratory therapist recommend for this patient?

• Arterial blood gas analysis
• Transcutaneous monitoring
• Pulse oximetry
• Serum electrolyte analysis -ANSWER-C. Pulse oximetry

A patient has 2 mediastinal chest tubes following a thoracotomy. The respiratory therapist notes that there is continuous bubbling in the water seal chamber of the chest drainage system. The therapist should

• check for a leak in the system.
• add water to the water seal chamber.
• increase the amount of suction.
• advance the chest tube 2 cm. -ANSWER-A. check for a leak in the

system.

For a patient enrolled in a smoking cessation program, which of the following would indicate that the patient is non-compliant?

• COHb level of 7%
• Regular attendance at counseling sessions
• Increased exercise tolerance
• Decreased use of accessory muscles -ANSWER-A. COHb level of

7%

A patient receiving a loop diuretic such as furosemide (Lasix) would most likely need what type of electrolyte replacement?

• Potassium
• Sodium
• Chloride
• Bicarbonate -ANSWER-A. Potassium

The FRC measured by body plethysmography is 30% larger than that measured by helium dilution. This difference is best explained by

• maldistribution of ventilation.
• increased diffusing capacity.
• trapped thoracic gas.
• reduced lung compliance. -ANSWER-C. trapped thoracic gas.

While performing a 12-lead electrocardiograph on a 68-year-old male patient, the respiratory therapist notices a sudden increase in artifact on the ECG paper. Upon further investigation, the therapist discovers that the V2 electrode has fallen off the chest. Where on the patient should the therapist place this electrode?

• 4th intercostal space on the left side of the sternum.
• 5th intercostal space, left mid-clavicular line.
• 6th intercostal space, left mid-axillary line.
• 7th intercostal space, right mid-clavicular line. -ANSWER-A. 4th

intercostal space on the left side of the sternum.

Which of the following devices would produce the greatest humidity output for a patient?

• Bubble humidifier
• Wick-type humidifier
• Large reservoir nebulizer
• Ultrasonic nebulizer -ANSWER-D. Ultrasonic nebulizer

A 7 year old child suspected of having epiglottitis would exhibit which of the following signs?